Contracted course instructors: application form

Esquimalt Parks & Recreation is always looking for new programs to offer the community.

Fill out the form below if you are interested in teaching a program with us.

You must have experience and expertise with the topic and age group of your proposed program.

All contracted program instructors are required to provide Esquimalt Parks & Recreation with the following:

Proof of Personal or Professional Liability Insurance (minimum $2 million coverage) with the Township of Esquimalt named as an additional insured
A copy of a clear Criminal Record Check including Vulnerable Sector Check valid within 6 months
A copy of all relevant/required certifications
Signed declaration that you have read and will comply with the Child Protection Policy
Proof of a Municipal or Intermunicipal Business License if the provider earns more than $1,000/year from the delivery of programs around the region

Contract recreation instructors are required to promote community recreation events, develop program activities, liaise with peers and parents, help with purchasing of equipment and supplies, and demonstrate positive customer relations and cooperative teamwork.

Questions? Contact recreation@esquimalt.ca or 250-414-8500. Thank you for choosing to work with Esquimalt Parks & Recreation.

Full Name

Phone Number

Address

Address 2

City/Town

Province

Postal Code

Business Name

Business Website

Business License

WorkSafeBC Number

GST Number

Relevant certifications and education / training

Proposed Program Name

Program Description

Cost of Program

Proposed time of day and length of each class

Ex. 7:00-8:00pm

Number of classes per session

Prerequisites for class, if any

Proposed class size

Minimum and maximum number of participants

Equipment / Material Required

Note if supplied by instructor, required by participants, and/or supplied by Esquimalt Parks & Recreation (tables, chairs, etc.)

Type of room required and set-up

Personal information contained in this form is collected under Section 26 (c) of the Freedom of Information and Protection of Privacy Act and will only be used for the form’s stated purpose. If you have any questions about the collection or use of your personal information, please contact the Corporate Officer at corporate.services@esquimalt.ca or 250-414-7135. More information can be found through our privacy policy.